Provider Demographics
NPI:1366170573
Name:KENDREX, HAILEY (PHARMD)
Entity type:Individual
Prefix:
First Name:HAILEY
Middle Name:
Last Name:KENDREX
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1633 ROCKWATER BLVD APT 108
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72114-4259
Mailing Address - Country:US
Mailing Address - Phone:870-277-8492
Mailing Address - Fax:
Practice Address - Street 1:8801 HIGHWAY 107
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:AR
Practice Address - Zip Code:72120-2929
Practice Address - Country:US
Practice Address - Phone:501-833-3116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD15902183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist